| Jerreyll Travis Jackson, MD | |
|
4604 31st Ave, Long Island City, NY 11103-1842 | |
| (212) 889-1171 | |
| Not Available |
| Full Name | Jerreyll Travis Jackson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 4604 31st Ave, Long Island City, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629009576 | NPI | - | NPPES |
| 2751471 | Medicaid | NY | |
| 02884251 | Medicaid | NY | |
| 0168092 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 25MA07982400 (New Jersey) | Secondary |
| 207W00000X | Ophthalmology | 043661 (Connecticut) | Secondary |
| 207W00000X | Ophthalmology | 237264 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerreyll Travis Jackson, MD 4604 31st Ave, Long Island City, NY 11103-1842 Ph: (212) 889-1171 | Jerreyll Travis Jackson, MD 4604 31st Ave, Long Island City, NY 11103-1842 Ph: (212) 889-1171 |
Dr. Theodore Lyu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4310 Crescent St, 2103, Long Island City, NY 11101 Phone: 773-791-7670 | |
Dr. Sumayya Ahmad, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Avenue, 4th Floor, C/o Carla Moscoso, Long Island City, NY 11102 Phone: 718-808-7777 | |
Matthew Feinsod, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3711 Queens Blvd, Long Island City, NY 11101 Phone: 718-361-5100 Fax: 718-729-2849 |